A newly hospitalized patient experiencing psychosis says, "Red chair out town board." Which term should the nurse use to document this finding?
a. Word salad
b. Neologism
c. Anhedonia
d. Echolalia
ANS: A
Word salad (schizophasia) is a jumble of words that is meaningless to the listener and perhaps to the speaker as well, because of an extreme level of disorganization.
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tremor, rigidity, bradykinesia tremor, bradykinesia, rigidity bradykinesia, tremor, rigidity bradykinesia, rigidity, tremor rigidity, bradykinesia, tremor rigidity, tremor, bradykinesia
Order: Vancomycin 500 mg IVPB q24h. The medication is placed in 100 mL D5W to infuse over 60 minutes. The administration set delivers 20 gtt/mL. _____
a. 33 gtt/min b. 25 gtt/min c. 17 gtt/min d. 83 gtt/min
The nurse is evaluating the progression of a client in the home setting. Which activity of the hemiplegic client best indicates that the client is assuming independence?
A) The client grasps the affected arm at the wrist and raises it. B) The client arranges a community service to deliver meals. C) The client ambulates with the assistance of one. D) The client uses a mechanical lift to climb steps.
Which question is appropriate for the nurse to ask when assessing the health status/behavior of the community environment?
1) What is the incidence of hypertension? 2) What is the incidence of high cholesterol? 3) Are there at-risk groups within the community? 4) What is the quality of the soil?